Neethu Alingal Mohandas

Claims Handler @Personal Group

Milton Keynes, GB

Manage and assess hospital insurance claims for inpatient, outpatient, and day-patient treatments, ensuring compliance with company policies and industry standards.• Review and verify claims documentation to confirm coverage, ensuring efficient and accurate processing.• Manage convalescence and recovery claims for employees signed off work due to medical reasons or injury, ensuring accurate weekly payments in line with policy entitlements. • Conduct hospital checks when relevant to support claim validation.• Handle company-paid group medical insurance (corporate/group plans), ensuring accurate processing and adherence to employer-specific benefits and agreements.• Ensure all claims meet FCA guidelines and maintain accurate records in accordance with GDPR requirements.• Identify and investigate potential fraudulent activity within claims and escalate when necessary.• Provide excellent customer service, offering clear communication and timely updates to policyholders.